MRS. INEZ H NICHOLS ARNP NPI 1336461912

NPI Information

  • NPI: 1336461912
  • Provider Name: MRS. INEZ H NICHOLS, ARNP
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 221 SW STONEGATE TER
    SUITE 101
    LAKE CITY, FL
    ZIP 32024
  • Phone: (386) 719-7066

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NPI Details

MRS. Inez H Nichols, ARNP is a family nurse practitioner in Lake City, FL. MRS. Inez H Nichols, ARNP NPI is 1336461912. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

221 SW STONEGATE TER
SUITE 101
LAKE CITY, FL
ZIP 32024-463
Phone: (386) 719-7066
Fax: (386) 719-7066

The NPI 1336461912 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 2/23/2010 and was last updated on 11/14/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamilyRN096819GEORGIANo
2363LF0000XNurse PractitionerFamilyARNP1850432FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11336461912OTHERFLORIDANPI
21336461912OTHERGEORGIANPI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

NPI Synchronization or Removal

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